James E Dougherty in Glastonbury - Nuclear Cardiology

James E Dougherty - NPI 1700876125

James E Dougherty is a Nuclear Cardiology in Glastonbury, Connecticut. James E Dougherty practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for James E Dougherty is 1700876125. The last update date is 2015-05-20.

James E Dougherty's current location address is 305 Western Blvd, Glastonbury, Connecticut. You can contact this provider via phone number 8605220604 and fax number 8605221761. The mailing address for James E Dougherty is 305 Western Blvd, Glastonbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name James E Dougherty
Address 305 Western Blvd, Glastonbury, Connecticut
Phone Number 8605220604
Fax Number 8605221761
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700876125
Provider Enumeration Date 2005-10-26
Last Updated Date 2015-05-20

Provider Mailing Address Detail

Address 305 Western Blvd
City Glastonbury
State Connecticut (CT)
Post Code 60334380
Phone Number 8605220604
Fax Number 8605221761

Provider's Primary Taxonomy Detail

Speciality Nuclear Cardiology
Taxonomy 207Un0901X
Licence No 17309
Definition:
A nuclear medicine physician who specializes in nuclear cardiology.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C00585 CT PTAN
60038840 CT RAILROAD MEDICARE
1173095 CT --
CA7937 CT RAILROAD MEDICARE GROUP #
010017309CT01 CT ANTHEM BCBS
60000677 CT MCPIN CT HEART PHYSICIANS

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FAQs about James E Dougherty

What is the unique 10-digit identification code issued to James E Dougherty by the Centers for Medicare & Medicaid Services?

The James E Dougherty has been assigned the NPI (National Provider Identifier) 1700876125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the James E Dougherty's physical address?

The James E Dougherty is physically located at 305 Western Blvd, in the city of Glastonbury, CT, with the postal code 60334380.

What is James E Dougherty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James E Dougherty is Nuclear Cardiology, and the taxonomy code that classifies this field of practice is 207Un0901X.

On what date did the James E Dougherty receive the assignment of its 1700876125 from the Centers for Medicare & Medicaid Services?

The James E Dougherty was issued its 1700876125 by the Centers for Medicare & Medicaid Services on 2005-10-26.

When was the information pertaining to James E Dougherty most recently updated or revised?

The details related to James E Dougherty, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-20.

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